HomeMy Public PortalAbout5314 NOEL DR_Plumbing__ 76A887 CE#817 2 88 �OroB ) � 7`
APPLICATION FOR PLU ING P R 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING AND p
VION BUILDING
JOHN A LAM ESAFETY COUNTY ENG EER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY J +
FOR APPLICANT TO FML IN NEGRESClosS S
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1 25 NAM
BATH TVR 125 DRESS
SHOWER 175 CITY TEL NO
LAVATORY 125 CONTRACTOR e- a '�
SDIX 125 ADDRESS Q
DISHWASHER 125 CITY / pppp��TEL NOSTATE
LIC
LAUNDRY TUR 125 LICENSE NO` Z.��(>Jp CLASS
CLOTHES WASHER 175 DISTRICT NO GROUP ZONE ROLES Y
WATER HEATER 1 SO d
GAS SYSTEM OUTLETS 1 ASUTE�IIPMOVAL p
OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD c a
O
W
0_
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE d GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERS AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND 8 TE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INT TO
RESIDE IN TME ABOV! ED R
DESCRIBE eNTIwL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
JACK R ALLEN
OtMMATION
M G CASH SUPERVISING MECHANICAL ENG R
14 SM W " '5 D 3.50-
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